Individual provider Active NPI

Collin Dempsey Cullen, MD

  • Internal Medicine Physician
  • Washington, DC
National Provider Identifier
1689769523
Registry record updated May 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD0052247 Issued in MD
Practice address
5410 Connecticut Ave NW Ste 117
Washington, DC 20015-2831
Phone
(202) 966-2828
Fax
(202) 966-0108
NPI assigned
Oct 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD0052247 MD Primary

Addresses

Primary practice location

5410 Connecticut Ave NW Ste 117
Washington, DC 20015-2831

Mailing address

5410 Connecticut Ave NW Ste 117
Washington, DC 20015-2831
Phone (202) 966-2828

Other practice location 1

7625 Wisconsin Ave
ste 101
Bethesda, MD 20814-6512
Phone (301) 951-0420

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110413000635 DC Practitioner - Internal MedicinePractitioner - Pediatric Medicine 0648310680 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pediatric Medicine
Education
Georgetown University School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

4400 Jenifer St NW
Suite 350
Washington, DC 20015-2086
Phone (202) 966-2828

6410 Rockledge Dr
Suite 600
Bethesda, MD 20817-1844

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD0052247MDMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Collin D. Cullen, M.D., LLC CurrentSince May 31, 2019 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

4400 Jenifer St NW
Ste 350
Washington, DC 20015
Phone (202) 966-2828

5410 Connecticut Ave NW
Ste 117
Washington, DC 20015
Phone (202) 966-2828

Interoperability endpoints

  • Direct secure messaging: collin.cullen.p3@direct.chv.nextgenshare.com
  • Direct secure messaging: collin.cullen.1@19487.direct.athenahealth.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653523200000",
    "number": "1689769523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5410 CONNECTICUT AVE NW STE 117",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200152831",
            "telephone_number": "202-966-2828",
            "fax_number": "202-966-0108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5410 CONNECTICUT AVE NW STE 117",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200152831",
            "telephone_number": "202-966-2828",
            "fax_number": "202-966-0108"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7625 Wisconsin Ave",
            "address_2": "ste 101",
            "address_purpose": "LOCATION",
            "city": "Bethesda",
            "state": "MD",
            "postal_code": "208146512",
            "country_code": "US",
            "telephone_number": "301-951-0420",
            "fax_number": "301-657-5637",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CULLEN",
        "first_name": "COLLIN",
        "middle_name": "DEMPSEY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2022-05-26",
        "certification_date": "2022-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "MD0052247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.